Doctor Name: | MISS STEFANI JEAN DZIKIY |
NPI Number: | 1124213483 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LPC |
License Number: | PC004695 |
Business Practice Address: | 1607 Lincoln Way Mckeesport, PA - 151311713 |
Business Phone Number: | 4126756339 |
Business Fax Number: | 4126750922 |
Mailing Address: | 1700 Friar Tuck Dr, IRWIN |
State: | PA |
Postal Code: | 156424404 |
Phone Number: | 7248631898 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 09/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC004695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |